Need to Re-Do Circumcision Rises; Reasons Unclear.
An unexplained increase in the number of revision circumcisions has pediatric urologists wondering whether the finding is real and, if so, what caused it.
Data contributed by pediatric hospitals nationwide showed a 119% increase in the rate of revision circumcision procedures from 2004 to 2009.
In contrast, the rate of primary circumcision increased by 19%, and procedures to remove penile adhesions rose by 37%.
"We found that certain hospitals had dramatic rises in revision circumcision procedures [approaching 1,000% in some cases] while others had more modest increases," said Kokorowski, of Children's Hospital Boston.
"Only three hospitals showed stable rates or slight decreases," he said.
They identified pediatric patients who underwent one of three types of specific penile procedures.
The analysis included 34,568 patients who underwent one of the targeted procedures.
The total consisted of 5,632 revision circumcisions, 25,768 primary circumcisions, and 3,168 procedures for lysis of penile adhesions.
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